| NPI | 1811186323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL FOLLIS President 574-514-8746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010354A) |
| Enumeration Date | 2007-10-21 |
| Last Update Date | 2007-10-21 |